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038-1011-40-100
Wisconsin Department of Commerce Count Safety and Fyrilding Division is PRIVATE SEWAGE SYSTEM St. C roix 0 h INSPECTION REPORT Sanitary Permit No: 499254 0 GENERAL- INFORMATION (ATTACH TO PERMIT) S ate Plan ID No: Personal information you provide may be used for secondary purApses [Privacy Law, s.15.04 (1)(m) 203 = 7"t - K. s Permit Holder's Name: city Village X Township Nrcel Tax No: Anderson, Alexander I Star Prairie, Town of 038 - 1011 -4 - 1 0 0 CST BM Elev: ( Insp. BM Elev: f BM Description: � Section/Town /Range /Map No: ( . U bb , a 2 " I>vL - P Q U►4 02.31.18.31110 TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 4L 2. OZ. /D a f Dosing . B s� 3•x.0 ,.5� A erafm dg. Sewer I { r -4, - ( w E-E-)L bon . S� 9SSS Hol-2 Wv``� ()t30 St/Ht Inlet 7 - Q l f 1 1 6 , TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG, Vent to Air Intake ROAD Dt Inlet P lb 11 Z2 , Septic Dt Bottom o ' Dosing Header /Man. Aer � S I Z S � 2 } r Dist. Pipe Ho #n2 r 267 + *3s' Bot. System 7 PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM Model Number TD H Lift Friction Loss ystem Head TDH Ft Forcemain Length T ia. Dist. to well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches IONS No. Of Pits n ' ia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L B WELL LA E /STREAM LEACHING Manufacturer: INFORMATION AMBER OR Type Of System: T UNIT Model Number: DISTRIBUTION SYS Header /Manifold Distribution r ie Size x to Air Intake Pipe(s) Length is Length Dia Spacing SOIL COVER x Pre ssure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bedrrrench Edges Topsoil Z;� E] Yes E] No E] Yes [] No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: AfOV• 13. l Inspection #2: Location: 1255 Cty Rd H New Richmond, WI 54017 (SW 1/4 SE 1/4 2 T31 R1 8W) NA Lot 2 r1T � �• �,p acQ� � aaQcQ� ' �tU 1.) Alt BM Description = ' t 2.) Bldg sewer length = .O r 4-c i S t o6w . 0.0 r - amount of cover = II & o � 22, d Plan revision Required? ❑ Yes XNo Ar �c� ?�g� - �sz►p / Use other side for additional information. — / Cr "�Ohdt6 �> � I ' nse,ctor's Signature Cart. o. S D- 6710(R.3/97) r S{— /. Z L `� � bS °` �" P w �t move �t2i. C - -fie ; �,cr '• U X60 e01*a Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 S7, c Q ,SCOnsn Madison, WI 53707 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608) 266 -3151 Y5 -) Z 5 Sanitary Permit Applicati State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information r e 3 may be used for secondary purposes Privacy Law, s15. )(m) Project Address (if different than mailing address) I. Application Information - Please Print All Information 1z 55 Property Owner's Name Parcel # Lot z Block # Property Owner's Mailing Address roperty Location 7 L rty, State Zip Code Phone um er �'• S/ �•. Section C Q 2 ST. CROIX COUNTY (circle II. Type of Building (check all that apply) "N; R1�E odw (" 31)-16 ) 1 or 2 Family Dwelling - Number of Bedrooms -- Subdivision Name CSM Number ❑ Public /Commercial - Describe Use /V�y�� El state Owned- Describe Use to ❑City_ ❑Village Township of 5 III. Type of Permit: (Check only one box on li A. Complete line B if applicable) A. ❑ New System ID Replacement System ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision El Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In - Ground • Holding T ank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank D _ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum azure PR Number Business Phone Number P lumber's Address (Street, City, State, Zi ode) / p Vf VIII. Coun /De artment Use Onl XA ❑ pp d Sanitary Permit Fee ncludcs Groundwater Dat Issued Issuin ent Sign re o Sta Su ' rcharge Fee) ❑ i ven Reason for Denial J 0O IX. Condit of Approval/Reasons for Disapproval N al�t d I a .. �c nnJb fir . 've( c/i dl `VNAck An 4 p,d yv P lG w 00 J CXX O4 Y 1 I n 7i, [�(I �jJ� ( YVII?5� l� lMc.. V'ai 4J� I'Ga GOd(p f� 11 St jJ '�' �t�e-. t� J _ I Attach complete plans (to the County only) for the syste on paper not less than 81/2 x 11 inches in size r SBD -63 /� (R.. 0I1 /03) I 1 7 Z Z_ /' b % 6L 609tr 6&04' aL5b 64— 922 OLt,5 Gout.(-. l.Jc, e P 1v AiU -oFescm o &p 1 a - Ioo0 (PA aco R� xs -,� c 3 -ell B E 0 x-lot) M ELL- W5 IAN DKCK i $3 A i �t ��� f4 W L C CP- e�� EL, q , 4.Ny go • $ .t " L.= inn.oC" TaQ e.= 2 '' P✓C, P,vt • ' 41-T. 8r1 -L. _ /00.3 'i o0 c, Z Vc Pi3O16 ,6q u a G A Dgiview Al 64, T©p OF ' -gov/V E _ �3�Sy�. 1 71 " COOM 0 T4N/( ASE xgA) mee ,A&;DEyes /,15 C - Y e l) jq ! /G / ,07 - 11 AvE �)E w R kctq n'ld f1 b VJ T 5'- /o/ 7 5 ,v1n j!5,eS6T Wj SVO i S L ecat : s 'ly S E 'lq 5 a'T 3 �J R 1,9 VJ Pt j) e_ s 42 ,?,3 ?ye) 0 r Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commer govsb, Department of Commerce www.wisco isconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary November 11, 2006 CUST ID No. 223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/11/2008 Identification Numbers Transaction ID No. 1339203 SITE: Site ID No. 720231 Alex Anderson Please refer to both identification numbers,' 1255 County Road H above, in all cones ondence with the agenc Town of Star Prairie - St Croix County SW 1/4, SE 1/4, S2, T31N, RI 8W r Lot: 2, Subdivision: CSM No. 16/4416 FOR: Description: Two Bedroom Holding Tank / 2 Tanks / Manholes >25' from service drive Object Type: POWTS Individual Site Design Regulated Object ID No.: 1107365 Maintenance required; 300 GPD Flow rate; System: Holding Tank The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or - work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system has been reviewed and approved as an Individual Site Design. The system shall be constructed in accordance with the approved plans and ch. Comm. 83, Wis. Adm. Code. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements - for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(4), Wis. Stats. • Comm 83.52(3) The activities relating to evaluation and monitoring POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The existing POWTS shall be properly abandoned per Comm 83.33, Wis, Adm. Code. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which mgy include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriatep" n8 maintenance manual and/or owner's manual for the POWTS described in this approval. Conditionally /C'a, JOHN F SCHMITT Page 2 11/11/2006 • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • 0 83.52 C mm (2) - A POWTS that is not maintained in accordance with the approved management p lan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this holding tank or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 120.00 Fee Received $ 120.00 Balance Due $ 0.00 Oerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART node: 7631 jerry.swim@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726 -2544 S 00 1 SCHMITT & SONS EXCAVATING, INC., 2006 586 Valley View Trail Somerset, WI 54025 715 -549 -6651 HOLDING TANK For: Alexander Anderson Address 1255 Ctv. Rd. H New Richmond WI 54017 Legal: SW1/4, SE 1/4,S2 T31N R18W Township: Star Prairie County: St. Croix Contents Page 1 Plot Plan Page 2 Holding Tanks Page 3 Anchor Calculations Page 4 Pumper Statements Page 5 Service Contract Attachment 1 Soil Evaluation Report Attachment 2 Holding Tank Component Manual SBD- 10571 -P (R.6/99) B al� MPRS 223760 Date: 10 -27 -06 i_� 'GkI MENI Ur CC1iliFlfEhCE SAFETY AND BUILD114GS �;r�7NLLNC:- e L Page Of E E t E •� O •C t r _ b co W r �- O to L +r C U O c - c -0 .d O c • O �� L v N = v a41 ° v a x 0 04-) W 41 C � b t O cc t 0 O C F" ex CL to 0 4J co M. L O r- c r- •r U Qf = V cm , a L Y z = m rn W O CL a-+ E C �J.r O ► 3 E O 41 © � •� C") • X •• \ L L •• M L. Z W N L d E E O - L •• .. O F - , N i N V Z 4 W O C� IV (N 4- r U W O V) O 4J i-) m w cn ¢ 3 c c b o a LL. a N U N b to V) O O �4 Z Z F- to to U CD d U Y m r- O 04 N F- I Q Z C 7 � aw cU J a� - - - -- z p �o� 8 rb 3 c _� 4 N 2 L 3. i E oo ► Q •r 0 a V O Q P+ fl/ V s d 7 U 2 X a a U to � � Q > F ' O •�•� W 4- V V Z L O Pal • 'r' d \ L CL 4-) H H O •r .0 - N t > U � /// C1 L RS C C 0o at C p C // ) 'v (J O O J •r •r e0 aC/ s " O QJF-U d N Q J� i > R1 Q) cE C, 6 ,4 1- i.QtiN Tank Anchoring: Per Comm 83.43(8)(g), Wis. Adm. Code, all tank(s) must be anchored whenever they are at risk for being installed in an area where they may be located in saturated conditions all /part of the year. Using soil as the anchor has become an acceptable alternative to concrete. • Flotation potential is the displacement of the tank calculated by its volume in cubic feet. Line A: Calculate cubic feet of tank. J'7 inches high, x Lt / oC, s r 2 316 0 cubic inches. Divide this number by 1728 to equal 1916 cubic feet. Line B: Convert the displacement to the weight of water. 190 (from line A) cubic feet x 62.4 (weight of 1 cubic foot of water) x l.5 (safety factor) _ /$�lbs. of lift potential. Line C: Calculate weight needed to counter buoyancy. 3 U4 lbs. (Displacement weight from line B.) - 63 lbs. (weight of tank per manufacturer) = lbs. of soil needed to anchor tank / / VO/o lbs. Line D: Weight of the soil media including safety factor needed over the tank to anchor the tank adequately. 2 5k Tank cover radius x 3.14 ya•� inches, divided by 144= 3 dyquare feet x 0.083 (1 inch in foot decimal) = Su7cubic feet (volume of 1 inch of space over the tank cover). Line E: Calculated weight of 1 inch of space over entire cover. 3 .a,7 cubic feet of space ( from line D) x 100 lbs. /cubic foot of = 3o? 7 lbs. /inch space above cover. Line F: Calculate inches of soil needed to counter buoyancy . I ISO � Ibs. (from line C) divided by 3a 2 7 lbs. per inch of soil (from line E) = inches need over tank cover. tp o I .LNCI�FES Ow Cc�U F IQ Schmitt d- Sons Zxcavatinq, Inc. 586 Valley View Trail Somerset, Wi 71549 -6651 October 10, 2006 Powers Liquid Waste Management, Inc. 346 Greaton Road New Richmond, WI 54017 This letter is to confirm that Powers Liquid Waste Management, Inc. has equipment capable of pumping a 2,000 gallon holding tank, approximately 75 feet from their-truck. Please sign this letter to confirm. Return to: Schmitt & Sons Excavating, Inc. 586 Valley View Trail Somerset, WI 54025 Ch,.•, Add ress -ro HOLDING TANK SERVICING CONTRACT Contract oate This contract is made between the Holding Tank Owner(s) Name(s) and Pumper's Name ( aOCUc2S G /QC //D 1 EX AIVI& Rs0nI 1 3y6 (Y2e To We acknowledge the installation o / (a) holding tank(s) on the following property: (Provide legal description:) y _ . . . - " SCU %y 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the "municipality", which has signed the pumping agreement required in Ch. iLHR 83.15 (4) (b), Wis. Adm. Code and with the County of 5' � C AD/X 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all- weather access ' road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the municipality which_ has signed the pumping agreement required by s. ILHR 83.18 (4) (b), Wis. Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the rson responsible for servicing the holding tank; P P b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) Owner's Signature(s) ALEX i4/YDE2S �v i _--- _— _ —...— —_ —_.._ � �!�-�" Subscribed and sworn to before me on this date: I Pumper's Name (Print) Pump is ign ure otary Putlic My commission expires: Pumper's Registration Number $t�5� � M. CARl�I MARY PUFU' vv�. �•:SI�r S1S130 (N. 11/85) This instrument was drafted by the State of Wisconsin Department $TJITE OF of Industry, Labor and Human Relations, Bureau of Plumbing. Wisconsin SOIL EVALUATION REPORT #1468 Departrwent of Commerce in accordance with Comm 85, t/Vis. Adm. Code Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St Croix induce, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 038 -1011- 40-100 Please print all mformaflion. Reviewed By Date Personal information you provide may be used for sewrMenr purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Anderson, Alexander Govt Lot SW1 /4, SE114, S2, T31N, R18W Property Owner's Mailing Address Lot # Bicek # Subd. Name or CSM0 1255 Cty Rd. H 2 CSM 16/4416 City State Zip Code Phone Number ( =1 City �E.j village Town Nearest Road New Richmond I WI 1 54017 1 Star Prairie I Cty Rd. H ii New Construction Use: E-] Residential ! Number of bedrooms 2 Code derived design flow rate 300 GPD Replacement LJ Public or commercial - Describe Parent material Glacial till Flood plain elevation, if applicable 94.44 ft. General comments and recommendations: There is not sufficient area to install the mound system this soil would require. See site plan for setbacks resticting the size of the area. �� i �r ✓f e r,s/.� dr /�' t�i.,.e .'i h.> Boring 3� ' �• t s t� a /, �� _ �"� �i ;,. i /A �.: .-<< i.. s , /. Boring # E Pit Ground surface elev. 98.96 ft. to limiting factor 26 in. �Pm �J Soo Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz Cont Color Gr. Sz. Sh. Etrtt1 •011#2 1 0-12 10yr3/2 none sl 2mgr mfr as 2f,2vf .6 .1.0 2 12 -26 10yr4/6 none grsl 2msbk mfr gw ivf .6 1.0 3 2640 10yr5 /2 m2d 7.5yr6/6 sil imsbk mfr gw if .4c 6 7.5w6/2 4 40-54 10yr4 /6 m2 1 2 / 6 sl icsbk mfr gw .4 .7 5 5486 10yr5/4 m2d 10yr6/6 sf lmsbk mfr — .4 .7 10vr6 /2 E Bo�# ��ng Pit Ground surface elev. 96.92 R Depth to limiting factor 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fts in. Munseli Qu. Sz. Cont Color Gr. Sz Sh. `0101 `Eff#2 1 0-16 10yr3 /2 crone sl 2mgr mfr as 1c,21' .6 1.0 2 16-21 10yr4 /4 none sl 2fsbk mfr gw 2f .6 1.0 3 21 -30 10yr5 /2 none sl 2msbk mfr gw .6 1.0 4 30-39 10yr5 /3 m2118 sl 2mcsbk mfr gw .6 1.0 5 3458 10yr5 /4 m2d S1 21msbk mfr --- .6 1.0 Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD <_30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: _ CST Number Thomas J. Schmitt 227429 Address Schmitt soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 6116/2006 715 247 - 2941 Seo-uw cm07r00) 'Property Owner Anderson, Alexander Parcel ID # 038- 1011 -40 -100 Page 2 of 3 Boring F3 1 B oring # Pit Ground surface elev. 98.20 R Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "EfM 'EfW2 1 0 10yr3 /2 none sl 2fsbk mfr as 2C,2f .6 1.0 2 16-24 10yr4 /4 none grsl 2fsbk mfr gw 2f .6 1.0 3 24-33 10yr5 /6 m210KW2/6 sll 2msbk mfr a ivf 6 1.0 4 33 -56 7.5yr4/6 m2 sl imsbk mfr Cs .4 .7 5 56-72 5yr4/6 m2d7.5yr6/8 sl lmsbk mfr — .2 .3 7.5 r6 1 4] Boring # Boring Pit Ground surface elev. 101.77 ft. Depth to limiting factor 32 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sr- Sh. "041 "Eff#2 1 0-9 10yr3 /1 none sl 2mgr mfr as 2c,2f .6 1.0 2 9-17 10yr5 /3 none sl 2fsbk mfr gw 2vf .6 1.0 3 17 -32 10yr5 /4 none Is icsbk mvfr gw 21' .7 1.7 4 32-47 10yr5 /4 m2d 10yiV8 Is icsbk mvfr gw .7 1.6 10yr6/2 m2p 7.5yr6/8 A .7 5 47 -56 7.5yr5/6 1 grsl icsbk mfr 9w 6 56-64 10yr5 /6 1 � 6 sl lcsbk mfr — .4 .7 10yr6/2 F-1 Boring # Boring ft. Depth to limiting factor in. Application plication Rat Pit Ground surface elev. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots � GPD 'EB#2 in. Munsell olu. Sz. Cont Color Gr. Sz. Sh. Effluent #2 = BOD -s 30 m9& and TSS <30 mg/L • Effluent #1 = BOD 30 <_ 220 mg/L and TSS >30 < 150 mglL s The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or ` need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608-264 -8777. scive sod Teft+o. Mr- seo -8730 OLOM0) Page 3 of 3 •= •'Coaclucted b3': Conducted For. 'Schmitt Soil Testing Inc. Name: Alexander Anderson Thomas J. Schmitt, CST 227429 Address: 1255 Cty Rd. H 1595 72nd St. City, State, Zip: New Richmond, WI. 54017 New Richmond, WI. 54017 Phone: 715- 247 -2941 Subd.Name: CSM 16/4416 ©. 6 /feed s W,W Lot No.: 2 DM Al Legal Description: S W l /4 SE U4 S2 T3 I N R 18 W ® Backhoe Pit Township, County: Star Prairie, St. Croix A Bench Mark EL 1 00.00' Top of 2" pvc pipe Ll Alternate Bench Mark EL / : �9 ; top of 2' pvc pipe Slope= U 9 Contour Line El. �� a Scale I"= 40' EK "71 / /'r /�° if �..'T .S4 J"F•t, e..y` �t.rer � r C� /'�Q �ZeJ.•ed ��•.►�1,� ..�`/ 1tiJ .�.1. �.rt ^..fit✓ /�'lecs -.•` A l 4.e�O�� �y� �C,� r � tom► -..' �J'cPei� �j�7e' GLn r S� �c;.c.+E' ct � � *+•�+.� � f+��� - �-.� S� h- cs.,.• 7j� �/'cJ`'�'�� L,; � �.�-'� f��f �, � � S; f��l.un i.•wt / / n,;{ �.-� �� ,S` VA S •• �Vsconsin SOIL EVALUATION REPORT #1468 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Schmitt Soil Testing, Inc. Attach comp lete site Ian on r not less than 8 x 11 inches in size. Plan must County P P Pepe St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 038-10 Please print Rev ie Date Personal information you provide may be u Y Law s. 15.04 (1) (m)) / D Property Owner P perty Location Anderson, Alexander 1UG 2 G vt. Lot SWIM, 1/4, S2, T31N, R18W Property Owner's Mailing Address t # Block # Subd. Name or CSM# 1255 Cty Rd. H ST. CROIX COU 2 CSM 16/4416 City State one Number City 0 Village ® Town Nearest Road New Richmond WI 54017 1 Star Prairie I Cty Rd. H ❑ New Construction Use: ❑ Residential / Number of bedrooms 2 Code derived design flow rate 300 Q('D Replacement ❑ Public or commercial - Describe � � (,� �; *,(, 4-- a � re l Parent material Glacial till Flood pia ffi elev ppon, if applicable 94.44 ft. General comments 0 /' non t� �oottc�. and recommendations: There is not sufficient rea to install the mound system this soil would require. See site plan for setbacks resticting the size of the area. 1- F-11 Boring # [I Boring ® Pit Ground surface elev. 98.96 ft. Depth to limiting factor 26 f in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *01#1 *EfW 1 0-12 10yr3/2 none sl 2mgr mfr as 2f,2vf .6 1.0 2 12 -26 10yr4 /6 none grsi 2msbk mfr gW 1vf .6 1.0 3 26-40 10yr5/2 m27 57.56y/r26/6 sil lmsbk mfr gw 1f .4c .6 4 40-54 10yr4/6 m21d1010y/r26/6 sl lcsbk mfr gw - - ---- .4 .7 5 54-86 10yr5 /4 m2d 10yr6 /6 sl lmsbk mfr -- 4 7 10yr6 /2 7 Boring # Boring ® Pit Ground surface elev. 96.92 ft. Depth to limiting factor 30 � in. ISoil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfe in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -16 10yr3 /2 none sl 2mgr mfr as 1c,2f .6 1.0 2 16-21 10yr4/4 none sl 2fsbk mfr gw 2f .6 1.0 3 21 -30 10yr5 /2 none sl 2msbk mfr gw ----- .6 1.0 4 30 -39 10yr5 /3 m2d 10yrl6 /8 sl 2mcsbk mfr gw ----- .6 1.0 5 39 -58 10yr5 /4 m2d 10yr6/8 sl 2lmsbk mfr - -- -- 6 1.0 10yr6 /2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD <30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �i� s= -6�^� / 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 6116/2006 715- 247 -2941 &W -8330 (807/00) I j Preperty Owner Anderson, Alexander Parcel ID # 038 - 1011 -40 -100 Page 2 of 3 ' [� 3 ❑ Boring # Boring / ® Pit Ground surface elev. 98.20 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-16 10yr3 /2 none sl 2fsbk mfr as 2c,2f .6 1.0 2 16 -24 10yr4 /4 none grsl 2fsbk mfr gw 2f .6 1.0 3 24-33 10yr5 /6 m2d 10yr6 /6 sil 2msbk mfr a 1VF .6 1.0 10vr6 /2 4 33 -56 7.5yr4/6 m2d 10yr6/8 sl lmsbk mfr Cs -- -- .4 .7 10yr6 /1 5 56 - 72 5yr4/6 m2 sl lmsbk mfr -- .2 .3 yr6/1 1 7.5 5 r6 a Boring # Boring / Pit Ground surface elev. 101.77 ft. Depth to limiting factor 32 in. ISO Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 1 0 -9 10yr3 /1 none sl 2mgr mfr as 2c,2f .6 1.0 2 9 -17 10yr5/3 none sl 2fsbk mfr gw 2vf .6 1.0 3 17 -32 10yr5/4 none Is icsbk mvfr gw 2f .7 1.7 4 32-47 10yr5/4 m2d 10yr6/8 Is lcsbk mvfr gw - - - -- .7 1.6 10yr6 /2 5 47 - 56 7.5yr5/6 m2p 7.55yr26/8 grsl lcsbk mfr gw 4 7 6 56 - 10yr5 /6 10yr6 /6 10yr6/2 sl lcsbk mfr — ---- .4 .7 F-1 Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff42 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 <150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS <_30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD -8330 (807100) Sd1W Soil T estln0. II1C. Page 3 of 3 Conducted by: Conducted For: Schmitt Soil Testing Inc Name: Alexander Anderson 'Thomas J. Schmitt, CST 227429 Address: 1255 Cty Rd. H 1595 72nd St. City, State, Zip: New Richmond, WI. 54017 New Richmond, WI. 54017 Phone: 715- 247 -2941 Subd.Name: CSM 16/4416 ©. 66 Ae .- 7 Jtz -.-� Lot No.: 2 Daft �yU Legal Description: SWl /4 SE1 /4 S2 T31N R18W ■ Backhoe pit Township, County: Star Prairie, St. Croix A Bench Mark EL 100.00' Top of 2" pvc pipe 0 Alternate Bench Mark El. . ,?F r top of 2' pvc pipe a Slope= a 9 a Contour Line El.� 0 Scale 1" = 40' � 14 JO i 34 r r b�' i E DA2 c P- EK r � Sy > 1-e k--- e t l� Gt to w -e �:^Pr i•-z c,a /zT/ 5�,: s B� �J% f P! c / spe. j �>•�e u no/ e- S�4 k)(1 � � ,., b�►L (JL - ! S'` � — � ��pa / "t 4 �i ��.�.rnc� 5�%S�� y ArcIMS Viewer Page 1 of 1 31 v M ..+� C3 1D 4 r 2 TN SCAR PRAIRIE s �' CM 16-4416 31 B-10 31 F Fg http: //72.21. 230.178/ website /LRPortal /ARCIMS/MapFrame.asp ?PIN= 9/19/2006 . ArcIMS Viewer Page I of 1 J ,� } ` + / � . / � IN STARPRAiR |�\ / i _ UM 40C _ _ _,__ » y tttp:/72 2 t2 0178 we s!! e/LRPoa6 /ARCIMS /Ma Fame mp #IN= 9/19/2006 00 w h� W W N LL ARY :F 8 � g $ N N 00 W A a J w C s W a- d Q 8 QQ Cty. Rd. 2 R O y' W a c a= Z W O V � m Z Rd. H p Q ZONE 3/ 26/7 6 `O H ZONE B ? Qz s - �� 8 00 896 N o 0 U 4 tom. LA.. U ZONE B 898 ,gp o C - z = z 0 > 886 I 88 �� z 88 0 ZONE A2 880 W 4/27/73 LU a O w cP a W cr m < 6 =EUW ,6 Q m Q ZONE B ? c _z ZONE B dU 'o ~ U ui z 8 68 ZONE C a CD (714 a W �e c Pp Cty. Rd. C 866 ZONE B n H &I-O2 . ArIMS Viewer Page I of I : � �\ « s © % � � y . ` , C y. 2 > - �� <c , f <: �y §ttp:/7 2 1.230 178/we sie /LRPo /6 /ARCIMS /Ma F ame a p? IN= 9/20/2006 \l / it ■ I - II' o � II© .9 50 0 . 11 = 11 �� • % 927 • H / ` lc. • - :4-930 92 I — � o � t _ tl ��__ �•__ 928 0 1 ,0 0 .......... u o w _ X 3 II ,o • - -� it // � ♦ • 1 ■ 836 1 E+6 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., MI Document Number Document Title RECEIVED FOR RECORD St. Croix County 10/06/2006 03 :35PM Holding Tank Agreement HOLDING TANK AGREEMENT EXEMPT to State Plan Transaction Number - REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: 1 Name - (Owner) Typed or printed Being duly sworn, states, under oath, that: 1. He /she is the owner /part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume Page A C� I Document Number 375- II St. Croix County Register of Deeds Office: Recording Area A parcel of land located in the V. of the S �= t /4 of Section T o and Ret rn Address T N - R _ W, Town of 1 ► e •c a n a(C r » A zs� ca. „rty Rd N Sfiot ,^ Pr ak +'e , St. Croix County, Wisconsin, being e v✓ hi c h M o, u /T S yal 7 duly described as follows (include lot no. and subdivision/CSM or detailed legal description): O - - Z 3 $ - �� 9 Parcel Identification Number (PIN) Agreement Date: l G - 6 -� as We acknowledge that application is being made for the installation of (a) holding tank(s) on the above described property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, a municipal sewer cannot now serve the property, or any other type of private onsite wastewater treatment system as permitted under Comm 83, Wis. Admin. Code, or § Ch. 145, Wis. Slats. As an inducement to the county to issue a sanitary permit for the above- described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Comm 83, Wis. Adm. Code relating to holding tanks. If the owner fails to have the holding tank properly serviced in response to orders issued by the governmental unit or the Department of Commerce to prevent or abate a human health hazard as described in s. 254.59, Slats., the governmental unit (Town) may enter upon the property and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s. 66.0703, Stats. 2. The owner agrees, pursuant to Comm 83.54(2) and Comm 82.40(3)(e), Wis. Adm. Code, to have a water meter installed in the structure. The water meter shall be installed by a plumber authorized by the Department of Commerce to make such installations, with said installation complying with State regulations and manufacturers specifications. The owner agrees to be financially responsible for the purchase, installation, maintenance, and repair of the water meter, and agrees to allow the governmental unit or the Department of Commerce to enter the above - described property on a regular basis to read and/or inspect the water meter. 3. Owner agrees to pay all charges and costs incurred by the governmental unit or county for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. The governmental unit shall notify the owner of any costs that shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 4. The owner agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adm. Code, to have the holding tank serviced and to file • copy of the contract with the governmental unit. The owner further agrees to file a copy of any changes to the service contract• or a copy of • new service contract, with the governmental unit within ten (10) business days from the date of change to the service contract. 5. The owner agrees to contract with a person licensed under Ch. NR 113, Wis. Adm. Code, who shall submit to the county on a semiannual basis a report detailing the servicing of the holding tank. The governmental unit or county may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. 6. This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that either a municipal sewer or a private onsite wastewater treatment system that complies with Comm 83, Wis. Adrn:'t3o4e�servss the property. In addition, this agreement may be cancelled by executing and recording said certification with refe encg.to•tfiis $gregiileLit In such manner which will permit the existence of the certification to be determined by reference to the property. y ; , 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owrier 4hall, sutl is agreem%rft to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner that v f5�1 permit th�stence of toe, agreement to be determined by reference to the property where the holding tank Is installed. - nt t y Owner(s) Name(s) - Please Print Subscribed and sworn to before me an this date ^-� ".,: X �� , 10/6/2006 Notarized Owner's Signature(s) Notary Public Geri Campbell Gov Intel Unit Official Na Title - Please Print My Commission Expires Deputy � 12/31/2006 Z 11 c Governmental O ial Si lure DraftXby: Pers al infor ion you provide may be used for secondary purposes (Privacy Law s. 15.04(1)(m)l "THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" This information must be completed by submitter document title. name & return address and PIN (if required). Other information such as the I o ( granting clauses, legal description, etc. may be placed on this first page of the document or may be placed on additional pages of the document. Note- Use of thi ant and S2.00 to the recordino fee. Wisconsin StatiAgs. 59,517, ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ,A ID"s D n/ Mailing Address U T_ T X9 A. Property Address - % t, (Verification fequired from Planning & Zoning Department for new construction.) City /State 1 ? iL H/'7Dn rn t /,/�' , Parcel Identification Number 0 �3$ LEGAL DESCRIPTION Property Location .S'Ul '/4 , ,5E_ '/4 , Sec. 22 T _21 N R_I,? W, Town of S}'A- oeAMZf _ Subdivision , Lot # Certified Survey Map # f� fyy� , Volume , Page # Warranty Deed # /�� / / , Volume Z /no , Page # 9/ Spec house yes no Lot lines identifiable (9 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms A SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 2 9 5 0 t' 2 9 1 x ATHLEEI! H. x ALSH REGISTER OF DEEDS ST. CROIX CO., VI STATE BAR OF WISCONSIN FORM 1 - 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 12/28/2085 02:30PIl THIS DEED, made between Joseph A. Anderson and Kellie S. Anderson VARRAHTY DEED EXEMPT # fka Kellie S. Williams, husband and wife, Grantor, and Alexander S. Anderson, Grantee. REC FEE: 13.00 Grantor, for a valuable consideration, conveys to Grantee the following TRAITS FEE: 345.00 described real estate in St. Croix County, State of Wisconsin (the CC "Property PAGES: 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Land Title, Inc 1900 Silver Lake Road, Suite 200 New Brighton, MN 55112 -1789 di. 2-62 Together with all appurtenant rights, title and interests. 038 - 1011 -40 -100 Parcel Identification Number (PIN) This is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Dated this 15th day of December, 2005. • Joseph A. Anderson * Kellie S. Anderson r AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MINNESOTA ) WASHINGTON COUNTY. ) ss. authenticated this 15th day of December, 2005 Personally came before me this 15th day of December, 2005 the above named Joseph A. Anderson and Kellie S. * Anderson flca Kellie S. Williams, husband and wife to me TITLE: MEMBER STATE BAR OF WISCONSIN known to be the person(s) who executed the foregoing (If not, instrument and acknowledg th ;�; authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY *AnWtte D. Theis Notary Public, State of Minnesota My commission is permanent. (If not, state expiration date: Larry Mountain, Attorney, 1900 Silver Lake Rd #200, New 1/31/20 ) Brighton, MN 55112 ( Signatures may be authenticated or acknowledged. Both are not necessary.) ANNETTE D • THEIS *Names ofpersons signing in any capacity must be typed or printed below their signature - Public - Minnesota o Notary ;;� My Commission Expires Jan 31, 20 WARRANTY DEED STATE BAR OF WISCON5 FORM No. 1-2000 '� r J._2950P "292 EXHIBIT A Lot 2 of Certified Map recorded in Vol. 16, Page 4416 as Document Number 700833, as being located in part of the SW 1/4 of the SE 1/4 of Section 2, T3 IN, RI 8W, Town of Star Prairie, St. Croix County, Wisconsin. HOLDING TANK SERVICING CONTRACT Contract Date This contract is made between the — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Holding Tank Owner(s) Name(s) and Pumper's Name Lax /��0��`'RSO/1� POGO &2S G/Qu /D [. .4srF 3 V6 rzAeA zzuy 4 "& &cle l a �/ We acknowledge the installation of (a) holding tank(s) on the following property: (Provide legal description:) /9 C ?y R® SWAY, 5,6T/ ------------------------------------------------ 1. The owner agrees to file a copy of this contract with the local governmental unit hereinafter called the "municipality", which has signed the pumping agreement required in Ch. iLHR 83.18 (4) (b), Wis. Adm. Code and with the County of .ST C 1261x 2. The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the all- weather access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18 (4) (b), Wis. Adm. Code, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; f. The volumes in gallons of the contents pumped from the holding tank for each servicing; g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change in this contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service contract with the municipality and the County named above within ten (10) business days from the date of change to this service contract. Owner(s) Name(s) (Print) I fFt~rfer's' rgrregsy A 4 -4�Fx ' 41YDERS0 N _ Subscribed and sworn to before me on this date: Pumper's Name (Print) 'gn ure otary ublic ( My commission expires: CAZES 24a I n t e Pumper's Registration Number �...y ��5� � M. CARUFEL MAW PUBLIr SBD -7574 (N. 11/85) SM OF WSCONSIN This instrument was drafted by the State of Wisconsin Department of Industry, Labor and Human Relations, Bureau of Plumbing. t Inc. Schmitt 9- Sons �'xcava anq, 586 Valley View Trail Somerset, Wi 71549 -6651 October 10, 2006 Powers Liquid Waste Management, Inc. 346 Greaton Road New Richmond, WI 54017 This letter is to confirm that Powers Liquid Waste Management, Inc. has equipment capable of pumping a 2,000 gallon holding tank, approximately 75 feet from their truck. Please sign this letter to confirm. Return to: Schmitt & Sons Excavating, Inc. 586 Valley View Trail Somerset, WI 54025 �hA•, e Address To a ® >q 145�iund �ia�� Parcel #: 038 -1011 -40 -100 10i06i2006 03:25 PM PAGE 1 OF 1 y Alt. Parcel #: 2.31.18.311 -10 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ALEXANDER S ANDERSON O - ANDERSON, ALEXANDER S 1255 CTY RD H NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1255 CTY RD H SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 0.680 Plat: 4416 -CSM 16/4416 SEC 2 T31 N R1 8W PT SW SE LOT 2 CSM Block/Condo Bldg: LOT 2 16/4416 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 02-31N-18W SW SE Notes: Parcel History: Date Doc # Vol /Page Type 12/28/2005 815211 2950/291 WD 04/04/2003 715951 2195/165 PR 04/04/2003 715950 2195/163 TI 04/04/2003 715949 2195/160 TI more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/18/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.680 43,500 75,500 119,000 NO Totals for 2006: General Property 0.680 43,500 75,500 119,000 Woodland 0.000 0 0 Totals for 2005: General Property 0.680 43,500 75,500 119,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 120 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I i 0-0 CROP C UN TY PLANNING &. ZONING 1 NOTICE OF VIOLATION June 16, 2006 y ALEXANDER ANDERSON 1255 CTY RD H NEW RICHMOND, WI 54017 Code Administranrl RE: Failing POWTS at 1255 Cty Rd. H. 715 - 386 - 46808 Land Information & Town of Star Prairie - St. Croix County, WI Planning Computer # 038 - 1011 -40 -100 Parcel # 2.31.18 715 - 386 - 4674 r Dear Mr. Anderson: Real Prod � As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in 715 - 3 6 - 4677 violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 12.1.F.4.d of the St. Croix County Zoning Ordinance. This POWTS (Private Onsite Wastewater Rgycling Treatment System) has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category 1). 715 386 -4675 This violation was first noted on June 16, 2006. The violation noted is septic effluent discharging to zones of saturation. An on -site inspection on June 16, 2006 did reveal the septic effluent discharging to the zones of saturation, and to the ground vi surface. If fines and or forfeitures become necessary to bring about the abateme nt of this violation, , they will be assessed as of June 16, 2006 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING POINTS ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND x' NEEDS PROMPT ATTENTION! REQUIRED ACTION: A sanitary permit must be issued through this office. You have already contracted with a certified soil tester Thomas Schmitt to have a soil evaluation conducted. The soil evaluation determines the type of septic system needed, the required sizing, and it's location. You must then contract with a licensed plumber who will design the replacement POWTS and apply for the sanitary permit. The POWTS must be replaced by December 01, 2006. 4� , If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Since ely, Ryan Yarri ton Zoning Technician cc: file rid ; ST. CRoix COUNTY GOVERNMENT CENTER 110 1 CARM/CHAEL ROAD HuDsoN, Wi 54016 71_5386 FAx PZ @CO. SAINT-CROIX. WI. US W W W. CO. SA I NT -C ROIX. W I . U S